Organization
GENEMATRIX LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONI D DONNELL (BILLING & CREDENTIAL SPECIALIST)
(832) 993-8374
Entity
Organization
Contact information
Practice address
2075 W PARK PLACE BLVD STE C, STONE MOUNTAIN, GA 30087-3542
(404) 410-9114
(404) 521-4665
Mailing address
2075 W PARK PLACE BLVD STE C, STONE MOUNTAIN, GA 30087-3542
(404) 410-9114
(404) 521-4665
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
03/11/2020
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